Although infrequent, alopecia can be caused by benign cutaneous tumours.
Neurofibromas are common benign tumors that originate in the peripheral nerve sheath.
Diffuse neurofibroma is a rare variant of neurofibroma that is thought to occur
mainly in the head and neck of children and young adults. Histology generally shows
an infiltrative tumor, composed of spindle cells in the dermis and subcutaneous
tissue. Despite being rare, malignant transformation has been reported. The
association between diffuse neurofibromas and neurofibromatosis type 1 still remains
to be determined since some authors question the low incidence usually described. We
report the case of a 42-year-old man who had a diffuse neurofibroma on the scalp
presenting as alopecic plaques.